Title Page

  • Conducted on

  • Prepared by

  • Location
  • does the property have a direct route to the kitchen

  • is the outside stop tap easily accessible

  • Is the fuse box accessible ? state in notes location

  • has the tenant agreed to stay out of the kitchen for the duration of the install?

  • will white goods be removed ( if no please state location for fitter to place

  • are you happy for us to use a sanitizing machine to make the area safe

  • does the property have a combi boiler in the kitchen

  • able to park van at property

  • will the tenant be staying at the property

  • Any other points to add ? please add in notes

  • I confirm that I am happy with the risk assessment carried out, the kitchen will be left empty and all the above info has been explained to me

  • Tenants Signature

  • Team leader Signature

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